2018
DOI: 10.1093/icvts/ivy319
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An aggregate score to stratify the technical complexity of video-assisted thoracoscopic lobectomy

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Cited by 8 publications
(6 citation statements)
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“…However, our cut-off of 150 minutes defined according to our median OT rounded to the next round number was shorter than theirs (≥360 minutes) and seems to better reflect the normal duration for this procedure in our experience. This is corroborated by other series, which report a median OT range from 110 to 150 minutes (9,14,15). Other factors were also statistically significantly associated with post-operative morbidity in our study: ASA score >2 (OR 1.87, P=0.001), FEV 1 <80% (OR 1.47, P=0.046), DLCO <80% (OR 1.5, P=0.045).…”
Section: Discussionsupporting
confidence: 91%
See 1 more Smart Citation
“…However, our cut-off of 150 minutes defined according to our median OT rounded to the next round number was shorter than theirs (≥360 minutes) and seems to better reflect the normal duration for this procedure in our experience. This is corroborated by other series, which report a median OT range from 110 to 150 minutes (9,14,15). Other factors were also statistically significantly associated with post-operative morbidity in our study: ASA score >2 (OR 1.87, P=0.001), FEV 1 <80% (OR 1.47, P=0.046), DLCO <80% (OR 1.5, P=0.045).…”
Section: Discussionsupporting
confidence: 91%
“…Interestingly, in our study, we did not observe a significant association between conversion thoracotomy and postoperative morbidity in the multivariable analysis, although the OR remained elevated and the association was statistically significant in the univariable analysis (the reasons behind these observations being unclear to us). However, our conversion rate to thoracotomy was similar to other previous VATS lobectomy studies (7-9%), which reported a higher morbidity rate in patients undergoing conversion thoracotomies (14,15,17,18). Seitlinger et al reviewed 501 patients undergoing VATS anatomical pulmonary resections and found a higher postoperative morbidity rate in patients who underwent conversion thoracotomy than in complete VATS patients (40.9% vs. 16.8%; P=0.001) as well as a higher perioperative mortality (6.8% vs. 0.2%; P=0.003) (17).…”
Section: Discussionsupporting
confidence: 89%
“…This concept of the ‘medically complex patient’ is intuitive to many physicians, but does not account for non‐patient factors, which may be environmental, social or cultural [ 7 ]. Similarly, a surgeon could understand complexity in terms of technical features – procedural difficulty – but not include the medical conditions and therapies as mentioned earlier [ 8 ]. These concepts are also different from risk, which is a measure of likelihood of a given (unwanted) outcome [ 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…Confirming these clinical characteristics is crucial as they can impact the complexity of the surgery. An aggregated scoring system has been developed to stratify the complexity of VATS lobectomy before surgery, which can be used to identify appropriate patient candidates and improve the efficiency and safety of surgeon training ( 16 ).…”
mentioning
confidence: 99%